Gynecologic Cytology

Gynecologic Cytology

Request Form

  • Fill out the Cytology Order Requisition Form completely.  All information is important.
  • Patient name on form must match on specimen container and/or slides.  Do not use different variations of the same name (e.g. Jane Doe vs. Ms. John Doe or Margaret vs. Peggy).
  • Include any abnormal findings or pertinent history.  This information is critical for an accurate diagnosis.

Specimen Handling

  • Observe universal precautions with all specimens.
  • Close vial securely to reduce risk of PreservCyt Solution leakage.
  • Record two patient identifiers (e.g. name, date of birth, medical record #, etc.).  If two patient identifiers are not on the specimen, it will be returned for complete identification.
  • Seal vial in biohazard bag.
  • Place completed  Cytology Order Requisition Form  in outer pocket of biohazard bag.
  • Completion of an Advance Beneficiary Notice of Noncoverage (ABN) is required for patients covered under Medicare.  The ABN is provided in addition to the customary Cytology Order Requisition Form.

Testing for high-risk HPV is performed when requested by the physician.  This can be done on the Cytology Order Requisition Form.

Testing for CT/NG is performed when requested by the physician.  This can be done on the Cytology Order Requisition Form.

How to Prepare a Cytology (GYN/Pap) Specimen

To optimize the quality of the material submitted for evaluation and to facilitate a beneficial turnaround time, obtain an adequate sample (view the ThinPrep Pap Test Quick Reference Guide-Revision H for specimen collection).

For Additional Help

Should you need help or advice in sending or preparing a specimen, you may contact the Cytology Department at the numbers below.

Phone:  (715) 847-0075
Toll Free:  (888) 228-3375
Fax:  (715) 847-0065                                                   

Supplies: Collection supplies are provided to offices utilizing Associates in Pathology Cytology Services. To place an order, please call (715) 847-0075 or (888) 228-3375 or click here to submit an order electronically.